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A clinician may consider medication after ESG for selected patients, particularly when appetite control remains difficult, weight loss slows, or weight regain occurs

Repeated missed doses will impact results, so establish systems to ensure consistency

Furthermore, these substantial results are typically realized over a specific timeframeoften 68 weeksemphasizing that this is a long-term medical journey, and success requires patience, strict adherence, and the close supervision of a medical professional

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Current Texas Medicaid guidelines generally require: A confirmed diagnosis of type 2 diabetes Prior authorization BMI documentation Evidence that other treatments have been attempted In most cases, weight-loss-only indications are not covered under Texas Medicaid